Individual
REBECCA AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-1080
Mailing address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-1080
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
364249
CA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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